Daily Report Hse Project: Location: Date:: 1 Bore Pile 2 Piping 3 Baja 4 Civil 5 Elekrtikal 6 7 8

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DAILY REPORT HSE

Project :
Location :
Date :

A. Man Power dan Man Hour


No. Devisi/Depertement Man Power (Org) Man Hour
1 Bore Pile
2 Piping
3 Baja
4 Civil
5 Elekrtikal
6
7
8

B. HASIL INSPEKSI ALAT/UNIT


No. Nama Alat Layak digunakan Tdk Layak
1
2
3
4
5

C. ACCIDENT REPORT
No. Description Jumlah Remaks
1 Fatality
2 Major Injury
3 Minor Injury
4 Medical Treatment
5 First Aid
6 Property Damage
7 Fire Case
8 Near Mess
D. AKTIVITAS LAPANGAN
No. Nama Pekerjaan Lokasi Remaks
1
2
3
4
5
6
7
8

E. CUACA
Waktu Kondisi Waktu Kondisi
08.00 – 09.00 16.00 – 17.00
09.00 – 10.00 17.00 – 18.00
10.00 – 11.00 18.00 – 19.00
11.00 – 12.00 19.00 – 20.00
12.00 – 13.00 20.00 – 21.00
13.00 – 14.00 21.00 – 22.00
14.00 – 15.00
15.00 – 16.00

Dibuat Oleh Diketahui Oleh


HSE Kontraktor HSE Konsultan

Iqbal Harumi Richo Naiborhu

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